剖宫产术后切口感染危险因素调查及护理对策研究

目的:对剖宫产术后切口感染的危险因素及护理对策进行研究.方法:收集2018年5月至2020年12月在本院行剖宫产术的152例患者的临床资料,根据有无切口感染划分为感染组(n=40)和未感染组(n=112).统计患者病原菌检出率与菌种分布情况,并采用Logistic回归分析导致患者感染的相关危险因素.结果:病原菌培养(+...     

瘢痕子宫产妇剖宫产术后切口感染情况调查及危险因素分析

目的 探讨瘢痕子宫产妇剖宫产术后切口感染情况调查及危险因素分析.方法 回顾性分析本院2018年4月至2020年6月收治的80例瘢痕子宫并行剖宫产产妇的临床资料.观察患者切口术后是否发生感染,计算其感染率;并采用多元Logistic回归分析影响瘢痕子宫产妇剖宫产术后切口感染的独立危险因素.结果 本研究80例瘢痕子宫产妇剖...     

急诊老年下肢动脉取栓患者术后切口感染调查及危险因素分析

目的分析影响急诊老年下肢动脉取栓患者术后切口感染的危险因素。方法回顾性分析2016年1月～2017年12月我院收治的116例急诊老年下肢动脉取栓患者的临床资料,统计患者术后切口感染率,分析影响老年下肢动脉取栓患者术后切口感染的相关危险因素。结果 116例患者切口感染率为10.34%;切口长、手术时间更长、抗生素药物使用天数及换药次数更少的患者术后切口感染率更高(P0.05);经多元Logistic分析结果显示,切口长度(≥6cm)、手术时间(≥50min)、抗生素药物使用天数(5天)、换药次数(3次)是影响患者老年下肢动脉取栓患者手术后切口感染的独立危险因素(P0.001)。结论急诊老年下肢动脉取栓患者术后切口感染率较高,需引起临床重视,切口长、手术时间长、抗生素药物使用天数少、换药次数少是影响患者老年下肢动脉取栓患者手术后切口感染的独立危险因素。     

普外科术后切口感染分析与预防

目的探讨普外科患者手术后切口感染的危险因素及预防处理措施。方法对1200例普外科手术患者的临床资料进行回顾性分析。结果1200例外科手术患者,120例发生切口感染,感染率为10%。结论普外科切口感染危险因素很多,主要与患者住院时间、年龄、切口类型、抗生素使用等相关,普外科手术患者易发生切口感染的各种危险因素采取相应措施,可预防或减少切口感染的发生。     

阑尾炎术后切口感染的相关因素分析

目的：对阑尾炎术后切口感染的相关因素进行探讨。方法于2011~2014年入住笔者所在医院的阑尾炎患者中随机选取120例作为研究对象。其中切口出现感染的患者有45例,为观察组。切口未出现感染的患者有75例,为对照组。对两组患者各基本临床资料进行分析比较,分析导致阑尾炎术后切口感染的各相关因素。结果观察组与对照组在性别等方面比较。差异无统计学意义(P>0.05)。在手术时间≤1 h、切口类型、病程≥24 h、有无置管引流、病理类型等方面比较,差异均有统计学意义(均P<0.05)。结论阑尾炎患者术后切口出现感染主要与手术时间、切口类型、病程、有无置管引流、病理类型等相关因素有关,故需及时做好围手术处理,从而减少切口感染率。     

重症肺炎患者多重耐药菌感染病原学特点及危险因素分析

目的:分析重症肺炎患者多重耐药菌感染病原学特点及危险因素.方法:选取2017年8月至2020年10月我院重症肺炎患者114例,均采集样本进行病原菌培养,分析多重耐药菌感染情况、病原学特点和影响因素.结果:多重耐药菌感染率58.77％(67/114);革兰阴性菌占比61.97％,以肺炎克雷伯菌(26.76％)、鲍曼不动杆...     

浅谈普外科手术切口感染危险因素及预防

目的：对普外科手术患者术后切口感染的危险因素与预防进行分析。方法探究我院普外科116例手术患者的临床治疗情况。结果调查研究发现切口感染的危险因素主要有术前住院时间长短、岁数、切口长度、以及手术种类等。结论为预防患者切口感染,需针对以上危险因素采取适合地对策,以利于患者的健康。     

肝胆外科手术切口感染的多因素分析及治疗对策

目的：研究肝胆外科手术切口感染的多因素分析和治疗对策。方法选取本院自2012年1月~2014年1月收治的300例肝胆外科手术患者,采用资料回顾性调查分析,研究所选取患者的切口感染因素以及相应的处理对策。结果所选取的300例肝胆外科患者,其中发生切口感染患者31例,感染率10.33%,另外手术时间、切口类型、患者年龄等均成为感染因素,其中患者年龄>60岁感染率高于小于60岁患者,手术时间越长感染率越高,切口类型为I 和I I的感染概率明显高于I切口感染概率,且差异显著(P<0.05),具有统计学意义。结论肝胆外科手术时,针对易感染因素采取针对性措施,以降低肝胆外科手术切口感染率,手术中应尽量缩短手术时间,切断感染源,并对患者感染情况加强监护。     

闭合性骨折具植入物患者手术后切口感染危险因素进行研究

目的：对闭合性骨折具植入物患者手术后切口感染危险因素进行研究,为控制其术后切口感染的发生和合理预防用药提供科学依据。方法以我院2010年~2014年292例闭合性骨折植入物手术患者为调查对象,对我院病案系统所收录的项目进行调查,包括年龄性别、手术持续时间、输血是否合理、预防、用药、全麻、肿瘤等项目。按医院感染诊断标准,将14例切口感染患者作为病例组,278例切口未感染患者作为对照组,数据采用SPSS13.0统计软件进行分析,各变量先经单因素分析后选择具有统计学差异的因素再进行非条件Logistic回归分析。结果我院闭合性骨折具植入物手术切口感染的独立危险因素为手术持续时间。结论通过减少手术持续时间则很有可能降低闭合性骨折具植入物患者手术切口感染率,而闭合性骨折具植入物手术术后过多使用抗生素预防感染不必要。     

Infectious diseases of the hepatobiliary system

This review will concentrate on commonly encountered infectious diseases in biopsy practice and will consider three scenarios: Firstly, the most frequent, where the biopsy arrives with the infectious disease stated on the request form. Secondly, where the patient has a risk factor placing infectious diseases high in the differential diagnosis and, thirdly, where infection is one of several possible aetiologies when a liver biopsy shows a particular pattern of inflammation.     

Infectious diseases of the hepatobiliary system

This review will concentrate on commonly encountered infectious diseases in biopsy practice and will consider three scenarios: Firstly, the most frequent, where the biopsy arrives with the infectious disease stated on the request form. Secondly where the patient has a risk factor placing infectious diseases high in the differential diagnosis and, thirdly, where infection is one of several possible aetiologies when a liver biopsy shows a particular pattern of inflammation.     

Infectious diseases of the hepatobiliary system

This review will concentrate on commonly encountered infectious diseases in biopsy practice and will consider three scenarios: Firstly, the most frequent, where the biopsy arrives with the infectious disease stated on the request form. Secondly where the patient has a risk factor placing infectious diseases high in the differential diagnosis and, thirdly, where infection is one of several possible aetiologies when a liver biopsy shows a particular pattern of inflammation.     

Genetic risk factors for infection in patients with early rheumatoid arthritis

We analyzed clinical and genetic factors contributing to infections in 457 subjects with early rheumatoid arthritis (RA) enrolled in a prospective, 1-year clinical trial of methotrexate and the TNF inhibitor etanercept. Subjects were genotyped for the following single nucleotide polymorphisms (SNPs): (TNF -308, -238, and + 488); lymphotoxin-alpha (LTA) (LTA + 249, + 365, and + 720); and Fc gamma receptors FCGR2A 131 H/R; FCGR3A 176 F/V; and FCGR3B NA 1/2 and genotypes were correlated with infections. At least one URI was noted in 52% of subjects (99/191) with the NA2/NA2 genotype of the neutrophil-specific FCGR3B gene, compared to 42% (77/181) of those with the NA1/NA2 genotype and 39% (23/59) of those with the NA1/NA1 genotype (P = 0.038). Urinary tract infection (UTI) was associated with the TNF -238 A (odds ratio(OR) 2.56, 95% confidence interval (CI) 1.05-6.25) and LTA +365 C (OR 1.73, 95% CI 1.07-2.79) alleles, and marginally with the FCGR3A F allele (OR 1.72, 95% CI 0.99-3.00). There was a striking linear correlation between UTI and the number of risk alleles defined by these three SNPs (P < 0.001), suggesting an additive effect on susceptibility. These findings have important implications for the role of genetics in susceptibility to bacterial and viral infections.     

Risk factors for infection in patients with remitted rheumatic diseases treated with glucocorticoids

It is well known that infection is one of the major causes of morbidity and mortality in rheumatic disease patients treated with high-dose glucocorticoids, especially in the early phase after achievement of disease remission. The aim of this study was to identify the risk factors for infection, with a focus on the dose of glucocorticoids administered, following the achievement of disease remission in rheumatic diseases patients. We retrospectively analyzed the medical records of rheumatic disease patients who had been treated with glucocorticoids. The primary endpoint was the incidence rate of infection during a period from 1 to 2 months after the commencement of treatment. From April 2006 to March 2010, 19 of 92 patients suffered from infection during the observation period. Age ≧ 65 yrs, presence of interstitial pneumonia, diagnosis of systemic vasculitis and serum creatinine level ≧ 2.0 mg/dl were found to be univariate predictors for infection. However, only the presence of interstitial pneumonia was an independent risk factor for infection (HR＝4.50, 95%CI＝1.65 to 14.44) by the Cox proportional hazard model. Even after achievement of clinical remission, careful observation is needed for patients with interstitial pneumonia, more so than for those receiving high-dose glucocorticoids.     

Potential risk factors for infection with Candida spp. in critically ill patients

The incidence, risk factors and prognostic factors for candidal infection were determined in a prospective study of 280 infected patients. Thirty-one (11%) patients were infected with Candida spp., sub-divided into 18 (58%) with C. albicans, and 13 (42%) with non-albicans spp. (six C. glabrata, three C. parapsilosis, and one each of C. krusei, C. tropicalis, C. guilliermondii and C. lusitaniae). Infection with Candida spp. was always associated with concurrent bacterial infection. By univariate logistic regression analysis, the degree of morbidity and the duration of mechanical ventilation were independent predictive factors for death, but infection with Candida spp., was not. Factors associated with Candida spp. infection were the degree of morbidity, intensive care unit length of stay, alterations of immune response, and the number of medical devices involved. By multivariate logistic regression analysis, the only independent risk factor for candidal infection was intensive care unit length of stay.     

老年2型糖尿病合并肺部感染患者免疫状态和预后的危险因素分析

目的:探讨影响老年2型糖尿病(type 2 diabetes,T2DM)合并肺部感染患者预后的相关因素。方法:选取2019年8月至2020年6月南京医科大学附属淮安第一医院收治的单纯T2DM患者135例,单纯肺部感染患者128例及T2DM合并肺部感染患者124例,分别记为T2DM组、肺部感染组及T2DM合并肺部感染组。...     

Incidence and risk factors associated with urinary tract infection in diabetic patients with and without asymptomatic bacteriuria

In order to compare the incidence of symptomatic urinary tract infection (UTI) in diabetic patients with and without asymptomatic bacteriuria (ASB), and to identify other risk factors for these infections, 289 females and 168 males were studied over a 12-month period. Symptomatic UTI occurred in 69.2% of patients with ASB (67.6% female and 76.5% male) versus 9.8% without ASB (14.9% female and 2.6% male). ASB and urinary incontinence were associated with symptomatic UTI in both women and men. Other risk factors included previous antimicrobial treatment and macrovascular complications in women and obesity and prostatic syndrome in men. The presence of ASB was found to be the major risk factor for developing symptomatic urinary tract infection. Further prospective randomized clinical trials of diabetic patients with risk factors for UTI who are receiving or not receiving treatment may be considered.